Prairie Therapy
LBN: Kelly Drevecky
Prairie Therapy is an health care organization with primary practice located at 700 Harmony St Nw , Minot ND 58703-2892. The organization recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics is the primary health care specialty.
Kelly Drevecky can be contacted via phone (701) 720-5355, or through Drevecky, Kelly Lon via phone 17017205355.
Contact Information
Primary practice address
700 Harmony St Nw
Minot ND 58703-2892
Phone: (701) 720-5355
Fax: (701) 839-1311
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist | 225X00000X | 612 | North Dakota |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics | 225XP0200X | 612 | North Dakota |
Profile Details
| NPI number | 1629224860 |
|---|---|
| LBN Legal business name | Kelly Drevecky |
| DBA Doing business as | Prairie Therapy |
| Authorized official | Drevecky, Kelly Lon OT R/L |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Aug 7th, 2008 |
| Last updated | Aug 7th, 2008 - about 16 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1629224860 | NPPES |
| Other | 1023153921 | ALLI HAGER'S NPI | |
| MEDICAID | 50609 | ALLI HAGER'S NPI | |
| Other | 1457303695 | ALLI HAGER'S NPI | |
| MEDICAID | 51145 | ALLI HAGER'S NPI | |
| MEDICAID | 51500 | ALLI HAGER'S NPI |
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